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Yoga Therapy Application

Please take a moment to fill out the form.

On a scale of to 5, how would you rate your current PHYSICAL well being? (Poor - 1 to Excellent - 5)
On a scale of 1 to 5, how would you rate your current MENTAL & EMOTIONAL well being? (Poor - 1 to Excellen - 5)
Do you consider yourself to be a Highly Sensitive Person (HSP)?

Yoga therapy is a holistic practice that looks at all aspects of a person to help choose and select the best practices for the individual. 


After each session you will be given guidance on practices for you to integrate into your life. These will be tailored for you and will be considerate of the time you have available. 

Are you able to consider changes to your current lifestyle and/or integrate suggested practiced into your life?
How many sessions are you looking to invest in?
How frequently are you looking to have a session?
Which is your preferred way to connect for Yoga therapy?

Thanks for submitting!

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